Bennett-Nolley, Tamara L

Bennett-Nolley, Tamara L is an individual health care provider with primary practice located at 10901 E 48Th St , Tulsa OK 74146-5830. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bennett-Nolley, Tamara L can be contacted via phone (918) 749-8765.

Contact Information

Primary practice address
10901 E 48Th St Tulsa OK 74146-5830
Phone: (918) 749-8765
Fax: (918) 392-2155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1994 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1994 Oklahoma

Profile Details

NPI number 1598061301
LBN Legal business name Bennett-Nolley, Tamara L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2011
Last updated Jul 6th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598061301 NPPES
Oklahoma MEDICAID 2003626020A

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